Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106S00000X | Behavior Technician | RBT-16-23953 | GA |
NPI | 1003341405 |
---|---|
Provider Name | Ms. Lindsey Hale |
First Address | Las Cruces, NM 88005-3248 |
Second Address | Las Cruces, NM 88005-2925 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/04/2017 |
Last Update Date | 16/04/2019 |